AGENCY

RECORD NUMBER
RECORDS SERIES
AGENCY FILE NUMBER

ORIGINATOR
FROM

TO

TITLE

DATE

PAGES
SUBJECTS

DOCUMENT TYPE
CLASSIFICATION
RESTRICTIONS
CURRENT STATUS

DATE OF LAST REVIEW
OPENING CRITERIA
COMMENTS

Date 01/14/98
Page : 1
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION °

INSCOM/CSF

194-10003-10335

INTELLIGENCE /COUNTERINTELLIGENCE SOURCES
PAGE 3

DOCUMENT INFORMATION

USA

59TH ORD GP

USA ADVANCED WEAPONS SUPPORT COMD
[ RESTRICTED ]

11/17/71

1

KACZMARCYYK, GEORGE»

RESULTS OF NATIONAL AGENCY CHECK

PAPER, TEXTUAL DOCUMENT
UNCLASSIFIED

3

RELEASED WITH DELETIONS
03/09/95

CONTINUATION SHEET INDEXED SEPARATELY.

STAPLE HERE
DEPARTMENT GQ? DEFENSE o~:
“NATIONAL AGENCY CHECK REQUEST ~

1 LAST NAME FIRST NAME - MIDDLE NAME

SECURITY NUMBER

A 1685

4S0CIA

1442

Ho anurrany EM -
‘CO eniuan

Cammendian OF}
RETURN Rammencing Officer - - (2 tNousTAiaL
TO: 2 -Artiy Advanced Weapons Suppert Command
(Include ZIP ATEN: Intefiaence Branch

LOCAL FILES CHECKED
WITH FAVORABLE RESULTS

© INITIATOR OF REGUES
Commanding Officer

HNC, 59th Ord Gp_
1 a, PRESENT ADDRESS

Code} [" ONY ¢ =

ACCT 6124

. This request for a NAC was completed by USAINTC on, ° 1:
‘with results checked below: y » ROV 17 1974

neu

“

: Th. FAVORABLE [al FAVORABLE DETERMINATION C] SEE ATTACHED SUMMARY |

; Cl SEE ATTACHED COPY OF DOSSIER EE] KO DA FORM 873 IN DOSSIER,

[J DA FORM 873 IN DOSSIER FOR .

#*

reer wegeee a — ann iret,

| GEORGE TOBIAS
| : MAJ, MI
CHIEF, USAREUR LN TM

(“Yes” answers must be explained in Jiem 18, below.)

Le Is the subject an alien or naturalized citizen?
ram o. Has the subject any foreign connections,

x | ie Has the subject travelled or resided abroad other tha (for fi As

18. REMARKS af eaaitignal space is needed, continue on plain paper.) : . 3
ATie #12. Sep 7h _— present, OPR, Pirmasens, ermany See L

ITait #8ae & &b. ° 5 ; 6

Josef Kaczmarezyky, DPOE: 2 Nov 69, NYC, NY, Alien reg. #A7964415
Dorota Iwanowa Kaczmarczyk, DPOE: 2 Nov 6¢, N¥C, NY, Alien reg ; ATHLEIE

continued

% GPO: 1967 0 279-094

DOD, eens 1584 . j REPLACES DA FORM 3027, 1 AUG 65, WHICH IS OBSOLETE

NW 88613 Docid:345297118 Page 2

